Clinical Investigation of Hemodynamic Changes during Anesthesia for Cesarean Section in Patients with Kyphoscoliosis / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 786-791, 1990.
Artículo
en Coreano
| WPRIM
| ID: wpr-59682
ABSTRACT
Kyphoscoliosis is a disease manifested as lateral curvature of spine and accompanying rotation of the vertebrae, resulting in distortion of rib cage. A curve greater than 40 degrees in considerd to be severe and most likely to be associated with physiologic derangements in cardiac and pulmonary function. Restrictive lung disease and pulmonary hypertension progressing to cor pulmonale are the major causes of mortality in patients with kyphoscoliosis. However, pregnancy itself increases cardiac output and circulating blood volume, and decreases total lung capacity due to enlarged uterus. So tidal volume is increased in pregnant women to compensate. But in kyphoscoliosis patients pulmonary fucntion is already impaired and cardiovascular reserve is minimal. So there is increasing tendency in actue cor pulmonale. Recently we experienced a case of cesarean section in patient with kyphoscoliosis, and observed severe hemodynamic changes especially in pulmonary capillary wedge pressure and cardiac output. And we investigated 7 cases of cesarean section of patients with kyposcoliosis.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Enfermedad Cardiopulmonar
/
Costillas
/
Columna Vertebral
/
Útero
/
Volumen Sanguíneo
/
Gasto Cardíaco
/
Cesárea
/
Presión Esfenoidal Pulmonar
/
Volumen de Ventilación Pulmonar
/
Capacidad Pulmonar Total
Tipo de estudio:
Estudio pronóstico
Límite:
Femenino
/
Humanos
/
Embarazo
Idioma:
Coreano
Revista:
Korean Journal of Anesthesiology
Año:
1990
Tipo del documento:
Artículo
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